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| To join this program you will need to complete the
documents listed below, and submit them for approval by the SELF
Board or Executive Committee.
By signing the SELF JPA Agreement, you agree to stay with the
program for a minimum of three years.
Membership approval can be backdated up to 30 days prior to the
date the completed documents are received by the SELF office.
The Board or Executive Committee meet monthly. You can check for
the next meeting by checking the SELF
Meetings section.
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| Application Documents to Complete |
| 1. A Liability Program Application
Form |
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Liability
Program online form |
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Liability
Program MS Word mail-in form |
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| 2. A signed JPA
Agreement |
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| 3. Board Resolution to join SELF |
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Liability
Program Resolution |
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| 4. Loss run for the past five years |
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| Once the application is approved, we will
send you a Members' Manual along with the invoice. You will have
60 days to submit payment. |
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Excess Liability Program (Charter School Application Process) |
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| Charter schools can have coverage through SELF in
two ways.
1. By direct application and membership
2. By endorsement through a Certificate of Coverage
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| Typically a charter school will apply for coverage
directly when the Charter agreement or sponsoring school district
agreement requires that the charter school obtain its own coverage.
Membership approval can be backdated up to 30 days prior to the
date the completed documents are received by the SELF office.
The Board or Executive Committee meet monthly. You can check for
the next meeting by checking the SELF
Meetings section.
For membership, we require the charter school to complete the
following:
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| Application Documents to Complete |
| 1. A Liability Program Application
Form |
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•
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Charter
School on-line form |
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Charter
School MS Word mail-in form |
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| 2. A signed JPA
Agreement |
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| 3. Board Resolution to join SELF |
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Liability
Program Resolution |
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4. Proof of valid underlying coverage such as
an insurance binder or declaration page. If the underlying coverage
is through a member JPA, no further documentation is required.
Once these items are received from the charter school, we submit
to the Board or Executive committee for approval.
As a member of SELF, the charter school will receive correspondence
such as newsletters and annual reports.
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